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NPI Code Detail

MEDICARE: BLESSING E PEREIRA LMHC

MEDICARE: BLESSING E PEREIRA LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor15888FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528382074
Entity Type Code : Individual
Provider Name (Legal Business Name) : BLESSING E PEREIRA LMHC
Provider Business Mailing Address
First Line : 386 S ATLANTIC AVE # 208
Second Line :
City : ORMOND BEACH
State : FL
Zip : 32176-7143
Country : US
Telephone Number : 678-520-5697
Fax Number :
Provider Business Practice Location Address
First Line : 121 W PENNSYLVANIA AVE
Second Line :
City : DELAND
State : FL
Zip : 32720-3429
Country : US
Telephone Number : 386-258-1618
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2010
Last Update Date : 07/18/2023

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Directions to “ BLESSING E PEREIRA LMHC” Practice Location

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